A dislocation is where a bone has been displaced from its normal position in a joint. A fracture on the hand refers to a break in the bone. A fracture or a dislocation can be a result of a violent knock on a bone or if it is forcibly bent or twisted. There are two types of fractures namely, simple or closed fracture and compound or open fracture. A simple or closed fracture refers to a situation where the skin over the broken bone is unbroken and there is no communication between the fracture and the outside body. A compound or open fracture refers to a situation where the skin over the broken bone is torn or lacerated and parts of the broken bone may show through. Due to the nature of a compound fracture, the injury is very prone to disease causing bacteria and infections are very susceptible. Specialist that treat fractureshere in Singapore advise that dislocations,can occur anywhere, even at home. Do you know how to handle someone who has suffered a fractured/ dislocation? In this article we are going to give you share some points on how to handle a person with a dislocation or a fracture.
A dislocation or a fracture is a very painful injury that needs to be handled with great care not to cause more pain to the injured person. Below are steps to help a patient before they get to a hospital for treatment.
- Control any bleeding
If there is a wound, check for any bleeding. If bleeding, apply direct pressure around the exposed bones. Be sure to be careful not to move the bones. Flush open wounds with clean fresh water and cover them with a dry dressing.
- Immobilize the injured part
Do not move the person from the position they are in, rather support the injured part and make the person be as comfortable as possible until the ambulance comes.
- Apply ice packs
Applying a cold ice pack on the injured part, will help decrease the swelling and relieve pain.The patient then is moved to the hospital by the ambulance and a proper diagnosis is made for the treatment to commence.
- Relieve pain by applying a cold pack to site of injury
This helps to reduce. Be careful not to apply the cold pack directly to the skin.
- Immobilize the injured part
This is achieved by the use of splints so as to avoid further irritation to the wound.
- Monitor the limb injured
This is to ensure that the injured part does not lose sensation or indicate any changes in temperature or slowing of the pulse.
- Alignment of the bones
The doctor is going to place back the bones and align them so as to fit back to the joint smoothly and properly. After the doctor has aligned the bones, the joint should be immobilized to give it time to heal. Patients’ are advised to have enough rest so that the body can have enough energy and be able to heal quickly.
- Begin rehabilitation
A set of exercises will be taught to help patient regain its normal range of motion. It also strengthens the muscles around the joint to prevent any further injury.
Treating a Fracture
An X-RAY willusually be ordered by the specialist treating fractureshere in Singapore so as to assess the damage done on the bone. Simple fractures without any bone displacements is easier to treat and heal. The affected area is kept in a plaster-of Paris (a cast) and given time to heal. This takes some few weeks.
A compound fracture requires more work to be done and often this includes surgical treatment before plaster is applied. The first step is called reduction. Reduction refers to the placing of the bone ends together so as to bring them together and unite once in contact. This process is usually carried out with care to ensure that the repositioned bones are accurately in place. Not all cases require reduction as in a grooved fracture of the skull. The method of reduction to be used depends on the nature of the fracture. If the fragments of the bone cannot be easily manipulated, special instruments are used to reposition the exposed fragments.
Two types of splints are used depending on the position of the fracture and how serious it is. External splints (i.e. plaster-of-Paris) are applied on the outside whilst internal splints (i.e. screws, metal plate, and bone graft) lie within the tissues.
Plaster-of-Paris strips are usually applied when wet and molded to the limb by binding them on tightly. This keeps the bone in place. The internal splints are used if splinting is not enough to hold the broken bone in place.